<!DOCTYPE html>
<html>
	<head>
		<meta charset="UTF-8">
		<meta name="viewport" content="initial-scale=1.0, maximum-scale=1.0, user-scalable=no" />
		<title>新增评估信息</title>
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			html,body{
				min-height: 500px;
			}
		</style>
		<link rel="stylesheet" type="text/css" href="../../css/mui.min.css"/>
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		<script src="../../js/layer.js" type="text/javascript" charset="utf-8"></script>
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			var vConsole = new VConsole();
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	</head>
	<body>
		<header class="positionR colorF height7">
			<img src="../../img/yihu/fanhui.png" onclick="window.history.go(-1)"/>
			<div class="height30"></div>
			<div class="textC font1-4">新增评估信息</div>
		</header>
		<div id="main" class="">
			<form class="mui-input-group">
					<div class="mui-input-row">
						<label>头像</label>
						<input type="text" placeholder="普通输入框">
					</div>
					<div class="mui-input-row">
						<label>证件号码</label>
						<input type="text" placeholder="请输入证件号码">
					</div>
					<div class="mui-input-row">
						<label>姓名</label>
						<input type="text" placeholder="请输入您的姓名">
					</div>
					<div class="mui-input-row">
						<label>文化程度</label>
						<input type="text" placeholder="请输入文化程度">
					</div>
			</form>
			<form class="mui-input-group">
					<div class="mui-input-row">
						<label>联系人姓名</label>
						<input type="text" placeholder="请输入联系人姓名">
					</div>
					<div class="mui-input-row">
						<label>联系人关系</label>
						<input type="text" placeholder="请输入联系人姓名">
					</div>
					<div class="mui-input-row">
						<label>联系人地址</label>
						<input type="text" placeholder="请输入联系人地址">
					</div>
			</form>
			<form class="mui-input-group">
					<div class="mui-input-row">
						<label>民族</label>
						<input type="text" placeholder="请输入民族">
					</div>
					<div class="mui-input-row">
						<label>国籍</label>
						<input type="text" placeholder="请输入国籍">
					</div>
					<div class="mui-input-row">
						<label>婚姻状况</label>
						<input type="text" placeholder="请输入婚姻状况">
					</div>
					<div class="mui-input-row">
						<label>出生地</label>
						<input type="text" placeholder="请输入出生地">
					</div>
					<div class="mui-input-row">
						<label>户口地址</label>
						<input type="text" placeholder="请输入户口地址">
					</div>
					<div class="mui-input-row">
						<label>社保卡号</label>
						<input type="text" placeholder="请输入社保卡号">
					</div>
					<div class="mui-input-row">
						<label>ABO血型</label>
						<input type="text" placeholder="请输入ABO血型">
					</div>
					<div class="mui-input-row">
						<label>RH血型</label>
						<input type="text" placeholder="请输入RH血型">
					</div>
					<div class="mui-input-row">
						<label>职业</label>
						<input type="text" placeholder="请输入职业或退休前职业">
					</div>
					<div class="save">
		        			<button type="button" class="mui-btn mui-btn-primary mui-btn-block">保存</button>
					</div>

					
			</form>
		</div>
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		<script src="../../js/common.js" type="text/javascript" charset="utf-8"></script>
		<script src="../../js/fuwu/addold.js" type="text/javascript" charset="utf-8"></script>
	</body>
</html>
